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Attitudes to Group Assessments: Prospective Psychotherapists’ Experiences of Being Assessed by Fellow Students

Open Journal of Medical Psychology 2017年第3期6卷 179-196页

作者： Anette Jervelycke Billy Larsson torsten norlander Center for Research and Development Evidens University College G&#246teborg Sweden Department of Clinical Neuroscience Karolinska Institute Solna Sweden

Background: The guidance of prospective therapists focused on Cognitive Behavioral Therapy (CBT) is most often made by groups of four students. However, learning therapist skills is a sensitive process that will be affected by the processes which occur within the group. Objective: The aim was to examine prospective psychotherapists’ attitudes to group assessments based on the revised version of the Cognitive Therapy Scale (CTS-R). Method: Participants were 56 students with an average age of 45.65 years (range = 31 - 64). They were recruited from psychotherapy training at the Gothenburg University and the Evidens University College in Sweden. A questionnaire was constructed in which the questions were answered by check on visual analogue scales (VAS). Results: A majority of students consisting of 38 participants (68%) had a very positive approach to group assessments, while a minority of 18 participants (32%) was more negative. Most crucial for how to answer the question of group assessments was whether they considered themselves as fairly evaluated by their student colleagues within the group and whether or not only the supervisor should make the assessments. The view of group assessments (negative or positive) was not related to age, gender, and level of education in CBT or profession. In addition, both groups had a very positive view of both the CTS-R and the supervisors. Conclusion: It was concluded that more studies with the same focus are needed to determine the extent to which the results are generalizable.

关键词： CBT Competences CTS-R Evaluation Process Group Assessments Prospective Psychotherapists

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Mindfulness-Based Cognitive Therapy: A Case Study on Experiences of Healthy Behaviors by Clients in Psychiatric Care

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Open Journal of Medical Psychology 2014年第5期3卷 390-402页

作者： Therése Ingvarsson Tommy Nordén torsten norlander Center for Research and Development Evidens University College Goteborg Sweden Department of Clinical Neuroscience Karolinska Institutet Solna Sweden

The aim of the study was for the first time to investigate patients’ own experiences of developing healthy behavior in connection with their participation in Mindfulness-Based Cognitive Therapy (MBCT). Healthy behaviors were defined as those which aimed to improve the individual’s well-being and physical function. Two women, diagnosed with bipolar illness or depressive episodes, were recruited from a group of clients in psychiatric care who both had been treated according to MBCT. The two clients shared their views of what changes they experienced during the treatment in semi structured interviews. Data analysis was performed according to the Empirical Phenomenological Psychological (EPP) method. The analysis generated five main themes which were shown to create a causal chain where paths to healthy behavior contributed to a process of change which was mirrored in comprehensive distancing, which in turn facilitated a reduced tendency of illness-identity and the acquiring of new proficiencies which could be generalized to different situations in daily life which led to insights about healthier behavior.

关键词： Cognitive Behavior Therapy Depression Healthy Behavior MBCT Mindfulness

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Consumer satisfaction, quality of life and distress with regard to social function and gender in severe mental illness

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Open Journal of Psychiatry 2011年第3期1卷 88-97页

作者： Bo Ivarsson Leif Lindstrom Ulf Malm torsten norlander Psychiatric Services Boras HospitalBorasSweden Department of Neuroscience PsychiatryUppsala UniversityUppsalaSweden Institution for Clinical Neuropsychiatry Sahlgrenska University HospitalGothenburgSweden Department of Psychology Karlstad UniversityKarlstadSweden

OBJECTIVE. The relationships between subjective satisfaction, distress and quality of life for severely mental ill patients with different functional levels and gender was investigated in a multi-center cohort, using a balanced mix of subjective and clinician ratings in an outcome-informed model for a clinical management based on shared decision making, 'The Quality star'. METHODS. Naturalistic data for 2552 persons, mainly with schizophrenia diagnoses, in long-term treatment and rehabilitation, were analyzed in a cross-sectional study. RESULTS. With increasing Social Function, rated with the split-GAF Disability/Functioning scale, the better were patients' Satisfaction, subjective Quality of life and Perceived Global Distress. Women were more satisfied with the care but also more distressed. CONCLUSION. Main findings were in line with other studies. However, the gender differences are in line with some, but not with other, studies. This poses questions how patient factors, instrument constructs, and treatment, especially shared decision making, influence subjective reports.

关键词： Consumer Satisfaction Quality Of Life Perceived Distress Schizophrenia Social Function

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Quality of Life with Flotation Therapy for a Person Diagnosed with Attention Deficit Disorder,Atypical Autism,PTSD,Anxiety and Depression

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Open Journal of Medical Psychology 2013年第3期2卷 134-138页

作者： Anette Kjellgren Hanna Edebol Tommy Norden torsten norlander Department of Psychology Karlstad UniversityKarlstadSweden Nutrition Gut Brain Interactions Research Centre Orebro UniversityOrebroSweden Evidens Research and Development Center GoteborgSweden Department of Clinical Neuroscience Karolinska InstitutetSolnaSweden Evidens Research and Development Center GoteborgSweden

The aim of this single-subject study was to report experiences from one and a half years of regular floating as described by a person with neuropsychiatric and mental health disorders. Floating, or Flotation Restricted Environmental Stimulation Technique, involves relaxation and sensory deprivation by means of resting in a tank with highly salted and body-tempered water. The subject, a 24-year-old woman diagnosed with attention deficit hyperactivity disorder, atypical autism, post-traumatic stress disorder, anxiety and depression floated regularly for one and a half years. Interviews regarding her experiences were analyzed and the main findings involved a subjective sense of improved quality of life, wellbeing and healthy behavior. There were no negative effects from treatment. Results suggest that floating may have beneficial therapeutic effects on mental health. Further studies that evaluate the efficacy and possible effects of floating with regard to mental health are needed.

关键词： Flotation Relaxation Mental Health Neuropsychiatric Disorders

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The Clinical Strategies Implementation Scale Revised(CSI-R).Fidelity Assessment of Resource Group Assertive Community Treatment

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Open Journal of Medical Psychology 2014年第1期3卷 36-41页

作者： Jonny Andersson Bo Ivarsson Stefan Tungstrom Ulf Malm torsten norlander Evidens University College GoteborgSweden Psychiatric Department Sodra Alvsborg HospitalBorasSweden Psychiatric Services County of DalecarliaFalunSweden Institution for Clinical Neuropsychiatry Sahlgrenska University HospitalGoteborgSweden Department of Clinical Neuroscience Karolinska InstituteSolnaSweden

The Clinical Strategies Implementation scale (CSI) was originally designed to be used by external reviewers in order to measure the extent to which evidence-based strategies had been implemented in the treatment of persons with schizophrenia spectrum disorders according to Resource-group Assertive Community Treatment (RACT). The present investigation had two aims: 1) to conduct a revision of CSI and to examine the revised instrument (CSI-R) in terms of interrater reliability (Study I);2) to compare assessments of CSI-R made by experienced assessors with assessments made by students in case management (Study II) in order to determine whether the instrument has validity even when more inexperienced persons are using it. In Study I six raters, who took part in 12 to 15 cases from three outpatient community mental health teams, participated. Results indicated that internal consistency of the CSI-R was strong (alpha = 0.89) as well as correlations between individual raters’ (r between 0.80-0.98). In Study II 91 newly trained RACT praxis trainees participated. Each of them followed one case for eighteen months, i.e., the client which they had been assigned during training (n = 91). The five external auditors in the education program then independently assessed the 91 cases with the CSI-R. Results showed significant correlations between experts and trainees (rho = 0.68,

关键词： ACT CSI-R Fidelity Scale Resource Group RACT

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